This quiz will evaluate your fraud and abuse knowledge and point out any weaknesses. The Fraud & Abuse Quiz covers the important role of an IG program in a healthcare facility.

There is one correct answer for each question and no time limit on this Fraud & Abuse Quiz. Each correct answer is worth one point. Good luck, and remember that you can take the Fraud & Abuse Quiz multiple times on multiple days.

Disclaimer – All answers are felt to be correct for the Fraud & Abuse Quiz. This Fraud & Abuse Quiz has been reviewed by HITNOTS Reviewers, and found to be of good quality. However, if you disagree with our answer to any question, please research the issue. Mistakes happen. A list of the HITNOTS Reviewers can be found on the HITNOTS home page by clicking here – HITNOTS.

Click “START” to begin the Fraud & Abuse Quiz.

The correct answer to each question will appear once you have submitted your answer to each question. You will also be able to review each individual question and your answer at the conclusion of the Fraud & Abuse Quiz. You score will appear at the end of the Fraud & Abuse Quiz in the form of the number of questions that were correct, and your percentage of correct answers.

The Fraud & Abuse Quiz is to be used for the purpose self instruction and learning as well as your own personal continuing education. There are no CEUs (Continuing Education Units) available for the completion of the Fraud & Abuse Quiz.

The Fraud & Abuse Quiz results can be emailed to anyone by you in 3 easy steps by taking a screen shot. Please follow these instructions: Number 1.- While viewing your score, Press Alt, while clicking Prt Scn (Print Screen). Number 2. – Then, open a word processing program, and Paste the image in to a word processing document . Save this document to your desktop. Number 3. – Compose an email, then attach the saved document. Send it to the intended recipient.

Fraud & Abuse

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This quiz will evaluate your knowledge of fraud and abuse. There is one correct answer for each question and no time limit on this quiz.
Each correct answer is worth one point. Good luck.
Disclaimer - All answers are felt to be correct. However, if you disagree, please research the issue. Mistakes happen.
Quiz results can be emailed by you in 3 easy steps by taking a screen shot. 1. While viewing your score, Press Alt, while clicking Prt Scn (Print Screen). 2. Open a word processing program, then Paste the image. Save this image to your desktop. 3. Compose an email, then attach the image. Send to the intended recipient.

Start

Congratulations - you have completed the HITNOTS Fraud & Abuse.
You scored %%SCORE%% out of %%TOTAL%%.
Your performance has been rated as %%PERCENTAGE%%.
Fraud & Abuse You can make a copy of your quiz result and email it to a recipient by pressing the Alt and PrtScr buttons at the same time while viewing your score. Then, paste the image into a word processing program and send it as a file attachment to the intended recepient. Fraud & Abuse

Your answers are highlighted below.

Question 1

This occurs when doctors or suppliers directly or indirectly do not follow good medical practices, which may result in unnecessary costs to health care benefit programs, inappropriate reimbursement, or services that are not medically necessary.

A

sanction

B

fraud

C

abuse

D

waste

Question 2

In reference to Medicare, the abbreviation, "MSN" refers to:

A

Medicare Services Notification

B

Medicare Summary Notice

C

Medicare Services Network

D

Medical Summary Notice

Question 3

Falsifying insurance eligibility is an example of:

A

fraud

B

abuse

C

grievance

D

sanction

Question 4

This activity takes place when multiple medical codes are used that describe individual portions of a procedure, rather than using the one appropriate code that defines all portions of the procedure:

A

upcoding

B

unbundling

C

bundling

Question 5

Using another person's insurance card or subscriber number, or allowing someone to use yours is an example of:

A

abuse

B

fraud

C

sanction

D

grievance

Question 6

A comprehensive compliance program must include:

A

the designation of a chief compliance officer

B

HHS initiatives

C

OIG consultation

D

fraud alerts

Question 7

Assigning a medical diagnosis or procedure code for the intent of receiving more money due to a higher level of reimbursement is called:

A

abuse

B

bundling

C

unbundling

D

upcoding

Question 8

This occurs when a health care benefit program is billed for services or supplies that the patient never received. This is a criminal offense under both state and federal laws.

A

abuse

B

upcoding

C

waste

D

fraud

Question 9

A complaint against a Medicare provider or service is also called a/an:

A

complaint

B

appeal

C

grievance

D

sanction

Question 10

A pattern of submitting insurance claims for services which were not medically necessary is an example of:

A

fraud

B

noncompliance

C

sanction

D

abuse

Question 11

A failure to maintain accurate medical or financial records would be an example of:

A

appeal

B

abuse

C

sanction

D

fraud

Question 12

People who report fraud to Medicare may be eligible for an incentive reward of:

A

10% of the overpayments recovered in the case or $1,000, whichever is less.

B

5% of the overpayments recovered in the case or $5,000, whichever is less.

C

20% of the overpayments

D

up to $10,000

Question 13

Submitting claims for services not provided or used is an example of:

A

abuse

B

residual funding

C

deemed services

D

fraud

Question 14

All of the following government agencies except are involved in preventing fraud and abuse:

A

CDC

B

OIG

C

FBI

D

CMS

Question 15

This is the misuse of resources which results in unnecessary costs to the health care system:

A

abuse

B

fraud

C

waste

Once you are finished, click the button below. Any items you have not completed will be marked incorrect.
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